If you can use Microsoft Word you can use Question Tools Editor Suite

Question Tools Editor Suite comprises Editor — for visually laying out and testing your screens, SimpleSet — for quick text editing and converting existing materials, and the Exam application — a secure alternative to a web browser. You can create exciting, interactive e-learing, exercises, tests and lessons for delivery using the free Question Tools Exam software, or any modern web browser.

• Question Types: Select (multiple choice), true/false, hotspot, menus, text answer, long-answer, and drag.
• Ready-to-use templates, effective styles feature.
• Create interactive lessons, exercises and tests.
• Open & test multiple screens within the editor.
• Handles pictures, sounds & video in a variety of formats including MP3 and MPEG.
• Multiple feedbacks can be included in screens
• Wide variety of test and lesson options.
• Multiple undo facility, comprehensive help.
• Support for a wide variety of charactersets, and available in English, Spanish, Portuguese and Dutch.
• Spell-checking as well as Find and Replace.
• Pasteboard for quickly dragging text into place.
• Built-in facilities for packaging and zipping source files.

There is a table showing the additional features offered by Question Tools Editor Suite Professional and Developer Editions here.

Who uses Question Tools?