TSTST 2017 Problem 1

Let $A B C$ be a triangle with circumcircle $\Gamma$, circumcenter $O$, and orthocenter $H$. Assume that $A B \neq A C$ and $\angle A \neq 90^{\circ}$. Let $M$ and $N$ be the midpoints of $\overline{A B}$ and $\overline{A C}$, respectively, and let $E$ and $F$ be the feet of the altitudes from $B$ and $C$ in $\triangle A B C$, respectively. Let $P$ be the intersection point of line $M N$ with the tangent line to $\Gamma$ at $A$. Let $Q$ be the intersection point, other than $A$, of $\Gamma$ with the circumcircle of $\triangle A E F$. Let $R$ be the intersection point of lines $A Q$ and $E F$. Prove that $\overline{P R} \perp \overline{O H}$.