This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: ENT
[{'content': 'Gutzmann pressure in pubuophonia is given \nSelect and explain. \nA. Backwards and Downwards, B. Backwards, C. Backwards and up, D. Downwards', 'role': 'user'}, {'content': 'Answer: A \nExplanation: None', 'role': 'assistant'}]