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: The line with equation $y = x$ is an axis of symmetry of the curve with equation
\[y = \frac{px + q}{rx + s},\]where $p,$ $q,$ $r,$ $s$ are all nonzero.  Which of the following statements must hold?

(A) $p + q = 0$

(B) $p + r = 0$

(C) $p + s = 0$

(D) $q + r = 0$

(E) $q + s = 0$

(F) $r + s = 0$
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