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ae and oe
In these combinations, only the second vowel is pronounced (e.g., bursae, pleurae).
Soft sounds of c and g
C and g have soft sounds before e, i, and y in Greek or Latin words (e.g., cerebrum, gel).
Hard sounds of c and g
C and g have hard sounds before other letters (e.g., cardiac, gastric).
ch pronunciation
The letters ch can be pronounced like k in some words (e.g., cholesterol, cholera).
Silent p in pn
When pn is at the beginning of a word, p is silent (e.g., pneumonia).
Pronounced pn in the middle
When pn is in the middle of a word, both p and n are pronounced (e.g., orthopnea).
Silent p in ps
When ps is at the beginning of a word, p is silent (e.g., psychology).
Plural i pronunciation
I at the end of a word is pronounced as "eye" when forming plurals (e.g., bronchi).
Normal sounds
All other vowels and consonants have normal English sounds.
Diacritical marks
Symbols placed above vowels to indicate vowel sounds in pronunciations.
Macron
A diacritical mark indicating a long vowel sound (e.g., ā in rāte).
Breve
A diacritical mark indicating a short vowel sound (e.g., ă in ălone).
Capitalization
Indicates primary accent in pronunciation (e.g., LĔT-tĕr emphasizes the first syllable).
Pronunciation of e and es
E and es are often pronounced as separate syllables at the end of a word (e.g., syncope).