All are controlled by autonomic nervous system except:
## **Core Concept**
The autonomic nervous system (ANS) controls various involuntary functions of the body, including heart rate, digestion, respiratory rate, pupillary dilation, and more. It is divided into the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS). Most visceral organs receive dual innervation from both the SNS and PNS.
## **Why the Correct Answer is Right**
The correct answer, , refers to skeletal muscle. Skeletal muscles are primarily under voluntary control through the somatic nervous system rather than the autonomic nervous system. While the ANS can influence the tone of skeletal muscles indirectly (for example, through the regulation of blood flow and temperature), the direct and voluntary control of skeletal muscle contraction is mediated by the somatic nervous system.
## **Why Each Wrong Option is Incorrect**
- **Option A:** . The heart is controlled by the autonomic nervous system, with both sympathetic and parasympathetic divisions influencing heart rate and contractility.
- **Option B:** . The smooth muscle in blood vessels is controlled by the autonomic nervous system, particularly by the sympathetic nervous system, which regulates vascular tone and blood pressure.
- **Option C:** . The pancreas, like many other visceral organs, receives autonomic innervation that influences its secretory and digestive functions.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that the autonomic nervous system generally does not control skeletal muscle directly; voluntary actions of skeletal muscles are controlled by the somatic nervous system. However, certain autonomic functions can indirectly affect skeletal muscle performance, such as through the regulation of blood flow.
## **Correct Answer: . Skeletal muscle**