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
Gutzmann pressure in pubuophonia is given 
Select and explain. 
A. Backwards and Downwards, B. Backwards, C. Backwards and up, D. Downwards
A: Backwards and Downwards
Answer: A: Backwards and Downwards 
Explanation: None