Quiz questions and 508 compliance

Back story: Starting from a basic Drag n Drop quiz slide matching a term to a definition (3 terms).

To rebuild the quiz question for 508 compliance I want the narrator to say a definition, then say each potential choice (we use text-to-speech audio).  The user presses a key if they accept a choice. 

For instance, the narrator says: "this round fruit can be squeezed to make juice."  Then says "pineapple," "orange," "banana,"  and waits for the user to press the key that chooses their answer.    

>>> I'm hopeful a hero or two has already tackled this!

Here are my thoughts for potential solutions:

solution 1) Address each term like a true/false question - as each term is spoken, if user agrees with the term presses [A], if not presses [B]

solutions 2) For a more multiple choice scenario, the narrator prefaces each term with a number, e.g. "one, pineapple." After hearing all three terms, the user presses the corresponding number key.

Thoughts?  Examples?    Thanks in advance!