Solve the following math problem efficiently and clearly:

- For simple problems (2 steps or fewer):
Provide a concise solution with minimal explanation.

- For complex problems (3 steps or more):
Use this step-by-step format:

## Step 1: [Concise description]
[Brief explanation and calculations]

## Step 2: [Concise description]
[Brief explanation and calculations]

...

Regardless of the approach, always conclude with:

Therefore, the final answer is: $oxed{answer}$. I hope it is correct.

Where [answer] is just the final number or expression that solves the problem.

Problem: In the diagram, $O$ is the center of a circle with radii $OP=OQ=5$.  What is the perimeter of the shaded region?

[asy]
size(100);
import graph;
label("$P$",(-1,0),W); label("$O$",(0,0),NE); label("$Q$",(0,-1),S);

fill(Arc((0,0),1,-90,180)--cycle,mediumgray);
draw(Arc((0,0),1,-90,180));
fill((0,0)--(-1,0)--(0,-1)--cycle,white);
draw((-1,0)--(0,0)--(0,-1));
draw((-.1,0)--(-.1,-.1)--(0,-.1));

[/asy]
user