Hi again
Hmmm, it would seem the playing field has suddenly transmogrofied from the original question! 
You did ask how things might work without resorting to quiz questions, no?
As I intimated in my first reply, Buttons and Click Boxes may have scoring enabled. So... you could concoct an assessment that has no quiz questions at all. Only Click Boxes and Buttons and maybe even Text Entry Boxes. All of these may be scored. You could then design it so things have to be dealt with in a specific manner in order to pass. Only by following the path you designate as being correct would they pass.
Unfortunately, this falls into the class of the ever present situation. How to truly test to see if someone really knows something. And I'm not sure any test created to date is totally able to do that. After all, a person may be able to spout all the right answers and still be basically clueless about how to make something actually work in the real world. I compare it to using a table saw or a compound miter saw. Sure, one can make perfect cuts. You might test for that. But are they also able to create a beautiful and well crafted cabinet just because they can make perfect cuts?
Maybe, maybe not.
Cheers... Rick 
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