It might make sense to have an option that the answers be shuffled in a new position with each new page load.
- shuffleanswers="true" to the quiz tag, to do it globally for all questions in the quiz
- Add parameter inside each question to turn on or off shuffling for a particular question, i.e.
{ Question text here |type="{}" |shuffle="true" }
or
{ Question text here |type="{}" |shuffle="false" }
Idea partially from: https://www.mediawiki.org/wiki/Extension_talk:Quiz#Make_printable_paper_copies_feasible_using_.22print.22_option_for_in-class_testing