Total per-capita consumption of alcohol

A. has increased steadily since 1965.
B. has remained relatively constant over the past 40 years.
C. increases and decreases about every five years.
D. has declined considerably from its peak in 1981.

D. has declined considerably from its peak in 1981.

Explanation:

Total per-capital alcohol consumption in the United States has declined from a peak of over 2.75 gallons of ethanol per capital to about 2.34 gallons of ethanol per-capital as at 2017.

there are no options provided but you can choose among the following gender-neutral pronouns: zir, hir, eir, vis, tem, eir.

in the normal course of maintaining a pronoun-antecedent agreement, we could have used the words his or her but since we are also required to use gender-neutral language, we need to replace it with its equivalent gender-neutral pronoun.