Add an RTL language package (Hebrew or Arabic or Farsi...) to Moodle (Home / ► Site administration / ► Language / ► Language packs) Switch to the RTL language you have installed by navigating to Moodle's Front-page and choosing it from the Language menu (or add "&lang=he" to the end of the URL you are currently using. If inside a course, set the RTL language from the course's setting) Navigate into a Quiz that includes some question (At least two) Navigate into Quiz edit page Make sure the above issue is solved when you see the UP, DOWN and DELETE icons visible to the left of the POINTS label (see attached screen capture)