<prompt> A patient has hyperphosphatemia with sho metacarpals and associated cataract. The diagnosis is:PseudohypoparathyroidismHypophophatasiaHyperparathyroidismOsteomalacia  <response>: Answer is A Pseudohypoparathyroidism: The presence of hyperphosphatemia Serum phosphate along with characteristic brachydactyly suggests the diagnosis of pseudohypoparathyroidism. Pseudohypoparathyroidism This is a hereditary disorder associated with symptoms and signs of hypoparathyroidism despite an elevated PTH level pseudohypoparathyroidism This is produced as a result of deficient end organ response to PTH. 