OK, so some of the associations are a bit dodgy, but I actually found this to be really funny, which ultimately helped me to remember the words.
With only 200 words you're not going to become fluent, however I found the vocab to be really useful when used in conjunction with Michel Thomas' 8 disc foundation course (which concentrates more on sentence structure and verbs). My husband didn't use Instant Recall (and only did 6 of the 8 Michel Thomas discs) and it was surprising how much I had to translate/communicate during our recent trip to Cuba.
It concentrates more on Latin American pronunciation, which was good for our purpose. I did find that the translation of a couple of the words didn't quite match up, but this was never a problem during our stay.
In short this is worth the money if you get it for a good price.