Pharmacology Cholinergic Agents Practice Test 2026 - Free Cholinergic Agents Practice Questions and Study Guide

The receptor subtype responsible for muscle contractions at the neuromuscular junction is the nicotinic receptor. Nicotinic receptors are a type of cholinergic receptor that respond to the neurotransmitter acetylcholine. When acetylcholine is released from motor neurons into the neuromuscular junction, it binds to nicotinic receptors located on the motor end plate of skeletal muscle fibers. This activation opens sodium channels, leading to depolarization of the muscle cell membrane and ultimately resulting in muscle contraction.

In contrast, muscarinic receptors are primarily found in the autonomic nervous system and are not involved in muscle contractions at the neuromuscular junction. Beta and alpha receptors are adrenergic receptors that respond to norepinephrine and epinephrine, mainly affecting smooth and cardiac muscle, not skeletal muscle. Thus, the nicotinic receptors are specifically tailored for mediating voluntary muscle movements at the neuromuscular junction.