TTS for Quiz Questions -- How Do You Handle It?

We had a good discussion over the pros/cons/ways to accommodate, but we wanted to see what others are doing.  Some highlights of our discussion:

• The majority of learners aren't neurodiverse, so having TTS on quiz questions/feedback could prove annoying to them, especially for longer questions.
• Can't add TTS to answers without losing the ability to shuffle them.
• Could add a button to "Read to me" but this becomes extremely manual/tedious and easy to overlook when changes/updates happen.
• Adding feedback transcripts to notes would give away answers.

I thought I'd respond to these points while I'm here;

• We also have few people requiring the text to be read to them who don't have screen reader technology (one, that I know of!). My solution is to add an accessibility info screen at the start of all courses explaining how to navigate and use the Storyline accessibility features. It also tells the user to click the MUTE button now or connect their headphones if they're in a public space or where audio isn't appropriate!
• My workaround (playing TTS when an answer is selected) allows you to retain shuffle answers.
• I use a 'read to me' button on the intro accessibility screen as we're assuming users might have speakers on before being told to press mute, so we don't want the audio for this playing automatically when the course starts. But the rest of the TTS plays automatically. If they didn't read the instructions to mute or put on headphones that's their fault! This remains the same across courses so updating/changes isn't an issue.
• I have produced transcript versions for many courses - I just edit them so that the correct answer/feedback isn't included. How they certify completion in this format is between them and their manager, but typically the transcript serves as supporting information (which can be read by Microsoft screen reading tech without needing additional software), rather than a complete alternative.