Multiple Choice Options: Fixing parts of an option

Hi everyone,

I need to create a multiple choice question (or similar), wherein the 5 statements are randomized but some text (or image) is always fixed to the 4th choice position (X).

Example:

A question asking to select one statement below:

                          Statement A (randomized)

                          Statement B (randomized)

                          Statement C (randomized)

X (Fixed on 4) Statement D (randomized)

                          Statement E (randomized)

I am not sure if I can use Java or other coding to make this happen. Here are some initial ideas:

1. Create a 2 columns x 5 rows table that (1) assigns one multiple choice option to each row and (2) randomizes only the second column
2. Create “If then” rules on randomization, where the subset statements for the 4th position is 1 of 5 statements that always include the fixed text (e.g., X Statement A - X Statement E) and then the subset statements for the other 4 options always excludes the one statement  selected in position 4 (with randomization on the remaining statements).
3. Create a side by side question with two columns of statements (randomize one column of statements and fix the other column containing X in position 4). 

Are any of these possible OR is there an easier solution?  I am trying to avoid creating dozens of blocks to get this done...