This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Musculoskeletal Radiology, Subject name: Radiology
This Hand Radiograph of a 2 year old Child with Dwarfism suggest the diagnosis of: 
Select and explain. 
A. Morquio syndrome, B. Achondroplasia, C. Hyperparathyroidism, D. Hypothyroidism
A: Morquio syndrome
Answer: A: Morquio syndrome 
Explanation: The Hand Radiograph demonstrates widening of metacarpals with proximal pointing of metacarpals from index to little finger suggestive of Moriquos syndrome an autosomal recessive Mucopolysaccharoidosis type IV. Proximal pointing of metacarpals is also a feature of Hurlers syndrome another autosomal recessive Mucopolysaccharoidosis type-I.