ACOG Updates Menopause Guidance, Expanding Treatment Options for Common Symptoms

Study the questions and tasks

Work through the material below, or start the interactive practice above to complete an attempt. Try the exercises before opening any answer or transcript sections, then use them to review your work.

Practice level

C2. Try this level if you can follow the instructions and understand most of the language; choose an earlier level if you need more support.

Question formats

Fill in the blank (dropdown)

How to approach this practice

Read the complete sentence and notice the subject, verb form, time reference and word order before answering.

1. Question 1 · Fill in the blank (dropdown)

   Choose the correct option for each blank.

   The recommendations ___ the range of therapies clinicians may consider.

   Choices for blank 1

   1. expand
   2. expands
   3. expanding
   4. have expanded
   Check answers and explanations

   Blank 1

   expands

   The singular subject “guidance” requires the singular present verb.

2. Question 2 · Fill in the blank (dropdown)

   Choose the correct option for each blank.

   Researchers later identified limitations in the evidence, ___ the results harder to apply to younger people.

   Choices for blank 1

   1. made
   2. making
   3. to make
   4. makes
   Check answers and explanations

   Blank 1

   making

   The participial phrase correctly expresses the resulting consequence.

3. Question 3 · Fill in the blank (dropdown)

   Choose the correct option for each blank.

   The guidance focuses on matching treatment to symptoms rather than ___ menopause care as uniform.

   Choices for blank 1

   1. present
   2. presented
   3. presenting
   4. to presenting
   Check answers and explanations

   Blank 1

   presenting

   The parallel gerund form follows “rather than” after “matching.”

4. Question 4 · Fill in the blank (dropdown)

   Choose the correct option for each blank.

   For people with a uterus, systemic therapy generally combines estrogen ___ progestogen.

   Choices for blank 1

   1. by
   2. from
   3. with
   4. at
   Check answers and explanations

   Blank 1

   with

   The preposition “with” correctly introduces the accompanying component.

5. Question 5 · Fill in the blank (dropdown)

   Choose the correct option for each blank.

   The findings were difficult to apply to younger people because most participants ___ at least 60.

   Choices for blank 1

   1. are
   2. were
   3. have been
   4. will be
   Check answers and explanations

   Blank 1

   were

   The past-tense auxiliary correctly describes the study's historical participants.

6. Question 6 · Fill in the blank (dropdown)

   Choose the correct option for each blank.

   Hormone therapy is likely ___ the most effective option for some symptomatic people.

   Choices for blank 1

   1. be
   2. being
   3. to be
   4. been
   Check answers and explanations

   Blank 1

   to be

   The adjective “likely” takes a to-infinitive complement here.

7. Question 7 · Fill in the blank (dropdown)

   Choose the correct option for each blank.

   The guidance lists several conditions ___ hormone therapy should be avoided.

   Choices for blank 1

   1. which
   2. whose
   3. where
   4. what
   Check answers and explanations

   Blank 1

   where

   The relative adverb “where” appropriately introduces the relevant circumstances.

8. Question 8 · Fill in the blank (dropdown)

   Choose the correct option for each blank.

   The article notes that symptoms may begin years before the final menstrual period, ___ the transition is not always sudden.

   Choices for blank 1

   1. although
   2. indicating
   3. because
   4. unless
   Check answers and explanations

   Blank 1

   indicating

   The coordinating conjunction correctly links the stated fact and inference.

What to review next

After checking an answer, explain the rule in your own words and write a new sentence using the same pattern. Revisit any rules you could not explain.

A focused practice result shows how you did on these tasks. Use several activities across skills to decide what to study next; one practice score does not certify an overall CEFR level.