In this set, there are 19 sets of four cards. Each set has similar pictures. The cards are typically used to teach students to recognize different concepts and actions based on the description provided (e.g. "Point to the one who is not holding a present", "Point to the one who has a present and a balloon", etc.). A variety of concepts can be taught, while working on following directions and paying attention to details. Student could also improve expressive language skills in the same areas through verbal or writing expression. The possibilities are endless.