This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology, Subject name: Medicine
A patient has hyperphosphatemia with sho metacarpals and associated cataract The diagnosis is- 
Select and explain. 
A. Pseudohypoparathyroidism, B. Hypophosphatasia, C. Hyperparathyroidism, D. Osteomalacia
A: Pseudohypoparathyroidism
Answer: A: Pseudohypoparathyroidism 
Explanation: the defects in metacarpal and metatarsal bones are sometimes accompanied by sho phalanges as well, and also associated cataract( Harrison 17 pg 2394)