The University of Iowa has been involved with the development, implementation, and operation of computer-based test-item pools and a test construction and course management system titled IPSIM (Iowa's Item Pool System for Instructional Management), originally devised for a freshman medical course in the Pathology Department of the College of Medicine. The IPSIM system provides the user with the ability to: (1) create and manage item pools; (2) produce "paper-and-pencil" tests, including computer-generated forms; (3) provide Coursewriter III code for interactive test administration; (4) construct multiple-choice questions from a prototype statement; (5) score tests; (6) analyze student performance data; and (7) compose student progress reports. The system appears to have wide ranging potential for other subject matter areas. (Author/KKC)