<prompt> A patient has hyperphosphatemia with sho metacarpals and associated cataract The diagnosis is-PseudohypoparathyroidismHypophosphatasiaHyperparathyroidismOsteomalacia  <response>: the defects in metacarpal and metatarsal bones are sometimes accompanied by sho phalanges as well, and also associated cataract Harrison 17 pg 2394 