You can say "click" followed by the item's type, such as "text field," "image" or "link," or by its label or part of it. Note: some labels aren't visible unless the mouse pointer is over them.
If there are multiple matches for your command, Dragon numbers them.
Say: CLICK Reply
Say: absolutely exclamation point
Say: CLICK Send
Notice the numbers. The second button is a match for the click command because its underlying label contains the word "send."
Say: CHOOSE one
Say: MICROPHONE OFF
Click to repeat, or >> to continue.