Changing the positions of multiple choice answer buttons

Hi all,

I'm trying to implement a custom question type based on multiple choice with 4 buttons. I'd like to present three buttons at the top of the question, then have some custom HTML or a graphic below that (essentially, the 'question text') and then another button below this custom graphic.

The idea is that the three buttons at the top would be similar to open browser tabs, and the one below would be an 'accept/ purchase button). We have display logic to show different situations depending on which button the participants press.

Is this possible to implement in Qualtrics? Any help would be much appreciated!

Thanks