The thumbnails make it look like the assessment isn't organized and aligned on the page...when you download it, it is. There are pictures on the left hand side (2 per page) and the corresponding words are on the right column.
This assessment, to the best of my knowledge, is aliged with the New York State Alternate Assessment for 4th grade ELA.
The student will use a picture from text to illustrate targeted vocabulary during reading time (e.g., given a picture, the student selects the word representing the meaning of the picture). (AT45311B)
This assessment is designed to be used in conjunction with "The Scoop on Homes, Clothes, and Daily Life in Colonial America" by Elizabeth Raum, which is part of the 4th grade ELA Common Core modules.