When a number is followed by an exclamation point (!) it means that number gets multiplied by all the numbers below it.
So 7! = 7*6*5*4*3*2*1 = 5040
4! = 4*3*2*1 = 24
6! = 6*5*4*3*2*1 = 720
Now the equation is:
5040 * 24 -720
5040 *24 = 120960
120960 - 720 = 120240
The answer is A.