words

Not quite.

pneumonia

You said Old English. It's Greek.

How that family writes these sounds

a bare /n/, /t/, /s/, /z/ at the start put the silent letter back on the front: pn-, pt-, ps-, mn-, x-pneumonia, pterodactyl, psalm, mnemonic, xylophone

What gives it away on the page

ps-, pn-, pt-, mn-, x- Initial clusters English can't actually pronounce, so it silences the first letter.psalm, pneumonia, pterodactyl, mnemonic, xylophone

Placing it without the spelling

science, medicine, technical coinage Greekphotograph, chemistry, system, pneumonia
a medical or technical word starting with a bare /n/, /t/, /s/, or /z/ Greek — the letter you can't hear comes firstpneumonia, pterodactyl, psalm, xylophone

Another word → · the full story of pneumonia · Greek in the guide