- Every word in isolation must have one primary stress. In longer words, there may be a secondary stress, which usually falls two syllables before the primary stress. For example (italicized are the secondary stresses, while only CAPS are the primary stress):
- LEUcoPEnia
- INsemiNAtion
- MIcroSCOPic
- PSYchoLOGical
- In general, the stress is on the root of the word. For example:
- disORder
- biLATeral
- conGENital
- TUbule
- reGULT
- inHIBit
- exCRETE
- MEMbrane
- FAILure
- NOTE: Prefixes are usually weak as are Anglo-saxon endings. For example:
- KINGdom
- SCHOLarship
- HANDsome
- HOliness
- Certain romance suffixes fix the stress in whatever word the are added to. The most frequent of these stress fixing suffixes are the following:
- -ic fixes the stress on the preceding syllable. For example:
- pediAtric
- orthoPEdic
- antibiOTic
- nePHRITic
- hyperDERmic
- There are only 8 common exceptions:
- CATHolic
- HERetic
- LUnatic
- ARsenic
- POLitics
- aRITHmetic
- ARabic
- RHEToric
- -ion fixes the stress on the preceding syllable:
- contraCEPtion
- gesTAtion
- reACtion
- abLAtion
- dimiNUtion
- perFUsion
- But this is only a particular case of a much more general rule: Suffixes of the form ‘i/u + vowel’ fix the stress on the preceding syllable:
- -ia: anaesTHEsia, septiCAEmia, claustroPHObia, dysxLEXia
- -ian: phySIcian, maGIcian, iTALian
- -ial: RAdial, poTENtial, myoCARdial, artiFIcial, differENtial
- -ious: susPIcious, unCONscious, amPHIBious, maLARious
- -ior: anTErior, inFErior, exTErior
- -ient: deFIcient, proFIcient, imPAtient, conVENient
- -ual: GRADual, perPETual, conTINual, reSIDual
- -uous: amBIGuous, imPETuous, conSPICuous
- -ium: poTASsium, bacTErium, epiTHElium, deLIRium
- -ity fixes the stress on the preceding syllable. For example:
- QUANtity
- eQUALity
- deFORMity
- But this is again only a particular case of a general rule: Word stress nouns (mainly abstracts) ending with -y have antepenultimate stress (third syllable from the end):
- insufFIciency, DYSentery, maLIGnancy, gyneCOLogy, radiOGraphy, acCESsory, vasECtomy, THERapy, osteo-arTHROPathy, lapaROScopy, loBOTomy, coLOStomy
- A notable exception to this rule is words ending with -plasty, which is stressed:
- orcheoPLASTY, rhinoPLASTY, mammoPLASTY
- -itis, -osis, -esis are also stressed. For example:
- dermaTItis
- cirRHOsis
- amniocenTEsis
- These rules fixing the stress according to the suffix cause the position of the stress in a word to change in its derived form. In the table below, the words in column 2 have weak endings and keep the same stress as the root forms of column 1. In the 3rd and 4th columns, the words have stress-fixing suffixes with displacement of stress.