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.

Starter, Trainer and Teacher packs are available at the commercial site.

Who uses Question Tools?