When creating an assessment, you can create a Hot Spot question in Quizzes.Next. Hot Spot questions allow teachers to upload images and have their students identify a specific area in that image.
The following image types can be used for Hot Spot questions:
Note: Hot spot questions are not accessible for users who require keyboard-only access or screen readers.
Add Question Title and Stem
In the Question Title field , add a question title. Question titles are optional and are not visible to students.
In the Question Stem field , add the question stem. The question stem contains the question and, if necessary, additional instructions and information. You can use the Rich Content Editor to format and add content to your question stem.
To upload an image for the Hot Spot question, drag and drop the image  or select a file by clicking the Browse link .
Draw Hot Spot
You can use one of three shapes to draw the hot spot: square , circle , and polygon .
To delete a hot spot and create a new one, click a shape tool or the image.
Use Square or Circle Tool
To create a square or circle hot spot, click the shape  then drag the shape over the hot spot . To complete the shape, click your mouse.
To expand the image when creating a hot spot, click the Expand icon.
From the expanded view, you can use any shape to create a hot spot . To save the hot spot, click the Done button . To return to the quiz question, click the Close icon .
Align to Outcome
To align the question to an outcome, click anywhere in the Align to Outcomes section.
Add to Item Bank
To add the question to an item bank, click the Add to Bank link.
Note: After a question has been added to an item bank, it can only be edited in the item bank. You can still set unique point values and options in the assessment for an item bank question.
Add Point Value and Feedback
To customize the point value for the question, type the point value in the Points field  or use the arrows to increase or decrease the point value .
To leave feedback for students, click the Feedback icon .