I am using the current version of NVDA. The NVDA key is the insert key using a desktop keyboard layout. There is also an option to use the cap locks key as the NVDA key as well on a laptop. Press the NVDA key with the letter 'N' together. This will bring up NVDA virtual window. Go to the preference and select your synthesizer. There is also a option to change the voice. Microsoft four synthesizer is not supported only version 5 using the current version of NVDA.
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