In WLM, just hit the F7 key to bring up the spell
checker. It will announce the word that is mis-spelled and give you the
first option to replace it. If that is right, hit Control C. If you
want more choices, hit the tab key and arrow down the list of replacement
words. If you want to hear one of the words in the list spelled out, just
use ‘insert plus number eight on the number pad. This is a JAWS command.
though, and not sure you are using jaws.
When you find the word you want, hit Control C, or just keep
tabbing to the command you want. It will give you the option to ignore,
ignore all,change, change all, , and add.
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