Acces

Acces is an electronic publishing system for teachers, sort of a combination between a database, desktop publisher, and word processor.

The program stores test items and curricular material very efficiently, supports many different page layouts, and produces beautiful, typeset-quality documents.
While some people like to call Acces a "test generator," it is really much more than that. In fact, it can be a great help to teachers in their regular instruction, and it can benefit students immensely.