The picture concepts has really out-of-date pictures as questions. I mean exceedingly out of date, from what I could tell. For example, from what my DS told me one involved an iron (I don't know about y'all, but I know for us - gone are the days when mom would iron dad's work shirts while watching the afternoon soaps!). He did not know what it was. One picture involved a typewriter.... My DS said to me, "There was one picture that looked like a computer keyboard, but not quite and instead of a monitor it had paper coming out of it. I couldn't figure out what it was - a printer? a computer? but where was the monitor? and printer's don't have keyboards?" He has never seen an actual typewriter and quite honestly neither have I, in years and years. There were a few more but I forget them now. Anyway that was my DS's lowest scores but upon hearing the objects pictured I wasn't surprised. What a shame, though - really not a measure of anything the way it is right now.
Food items are tricky, too, with an increasingly multi-cultural society and more educated families choosing healthier options than the norm. I remember a picture book DS had as a young baby with a page of candy pictures, and he thought a lollipop was a colorful spatula.