My approach to this question is the sum of the circumferences of the two smaller circles is $2\pi(a+b)$, where $a$ is the radius of the circle on the left and $b$ is the radius of the one on the right. And we now compare $2\pi(a+b)$ with $2\pi r$, where $r$ is the radius of the largest circle.
However, the answer is C, which means $a+b=r$. I am confused that how do you know $R$ is the center of the largest circle since the question only tells you that the centers lie on line $PQ$.

Say the big circle has diameter $d$, and the two smaller circles have diameters $a$ and $b$, respectively. So clearly $a + b = d$.
Circumference of big circle: $\pi d$.
Sum of smaller circumferences: $\pi a + \pi b = \pi ( a + b) = \pi d$.
So the two quantities are the same.