This document summarizes key aspects of acetylcholine (ACh) signaling at the neuromuscular junction. It discusses how ACh is synthesized from choline and acetyl-CoA by the enzyme choline acetyltransferase and degraded by acetylcholinesterase into choline and acetate. It describes the composition of the nicotinic acetylcholine receptor as having alpha, beta, gamma, delta or epsilon subunits. Common disorders that affect ACh signaling like myasthenia gravis and inherited disorders are also mentioned. The document poses review questions about ACh synthesis, degradation, the acetylcholine receptor, and associated disorders.