This is for technical reasons, so that Ctrl + Alt always open the selection (context) menu!
Problem is Ctrl and Alt key! QuickTextPaste works as known via the Windows clipboard, and most programs do not respond, at the pressed Alt and / or Ctrl that as known used for functions such as Copy Ctrl + C, CTRL + V, and so on Alt key as a menu command, etc.
However, if you use one of the other three options (... see Image-1 Arrow-1) , and only one instruction per hotkey, the command will be executed without the context menu.
FAQ 14: Updated on: December 7th 2015 21:23