Multiple choices on a hotspot question.

For @AnalogueTeacher:

I wrote a blop posting about how I created a solution for  this, however the screenr links are now unvaild.

http://www.discovery-thru-elearning.com/2010/09/using-articulate-quizmaker-hotspot.html

I've attached the refernece quiz though.  I think it will make sense to you when you look at it how I was able to create a work around for this type of question.