char questions[40][200];
    FILE* fp;
    fp=fopen("text.txt", "r");
    int i;
    for (i=0; i<=3; i++)
        {
            fgets(questions[i], 200, fp);
        }
    fclose(fp);

char questions[40][200];
char answersA[40][200];
char answersB[40][200];
char answersC[40][200];
/* ... */
for (i=0; i<=3 /* Or however many questions there are */; i++)
{
    fgets(questions[i], 200, fp); /* Read the question */
    /* Read the answers */
    fgets(answersA[i], 200, fp); /* Read the answer for option A */
    fgets(answersB[i], 200, fp); /* Read the answer for option B */
    fgets(answersC[i], 200, fp); /* Read the answer for option C */
}
/* ... */

#define QUESTION_SIZE (300)
#define ANSWER_SIZE (200)
#define NUMBER_OF_QUESTIONS (42)
#define NUMBER_OF_ANSWERS (3)

struct QA
{
  char question[QUESTION_SIZE];
  char answers[NUMBER_OF_ANSWERS][ANSWER_SIZE];
}

int main(void)
{
  struct QA qa[NUMBER_OF_QUESTIONS] = {0};

  FILE fp = .... /* open file here */

  size_t q;
  for (q = 0; q < NUMBER_OF_QUESTIONS; ++q)
  {
    fgets(qa[q].question, sizeof qa[q].question, fp);

    {
      size_t a;
      for (a = 0; a < NUMBER_OF_ANSWERS; ++a)
      {
        fgets(qa[q].answers[a], sizeof qa[q].answers[a], fp);
      }
    }
  }

  fclose(fp);

  ... /* do stuff */