a)

\(\dfrac{\left(\sqrt{x^2+4}-2\right)\left(\sqrt{x^2+4}-2\right)\left(x+\sqrt{x}+1\right)\sqrt{x-2\sqrt{x}+1}}{x\left(x\sqrt{x}-1\right)}\\=\dfrac{\left(\left(\sqrt{x^2+4}\right)^2-4\right)\left(\left(x+\sqrt{x}+1\right)\sqrt{\left(x-1\right)^2}\right)}{x\left(x\sqrt{x}-1\right)}\\ =\dfrac{\left(x^2+4-4\right)\left(\left(x+\sqrt{x}+1\right)\left(x-1\right)\right)}{x\left(x\sqrt{x}-1\right)}\\ =\dfrac{x^2\left(x^3-1\right)}{x\left(x\sqrt{x}-1\right)}=x^2\sqrt{x}\)

b)

\(\left(\dfrac{\sqrt{a}-2}{\sqrt{a}+2}-\dfrac{\sqrt{a}+2}{\sqrt{a}-2}\right)\left(\sqrt{a}-\dfrac{4}{\sqrt{a}}\right)\\ =\left(\dfrac{\left(\sqrt{a}-2\right)^2}{\left(\sqrt{a}+2\right)\left(\sqrt{a}-2\right)}-\dfrac{\left(\sqrt{a}+2\right)^2}{\left(\sqrt{a}+2\right)\left(\sqrt{a}-2\right)}\right)\left(\dfrac{a}{\sqrt{a}}-\dfrac{4}{\sqrt{a}}\right)\\ =\left(\dfrac{a-4\sqrt{a}+4-a-4\sqrt{a}-4}{a-4}\right)\left(\dfrac{a-4}{\sqrt{a}}\right)\\ =\dfrac{-8\sqrt{a}}{a-4}\cdot\dfrac{a-4}{\sqrt{a}}=-8\)

c)

\(\left(\dfrac{\left(\sqrt{a}-1\right)}{\left(\sqrt{a}+1\right)}+\dfrac{\left(\sqrt{a}+1\right)}{\left(\sqrt{a}-1\right)}\right)\left(1-\dfrac{1}{\sqrt{a}}\right)\\ =\left(\dfrac{\left(\sqrt{a}-1\right)^2}{\left(\sqrt{a}+1\right)\left(\sqrt{a}-1\right)}+\dfrac{\left(\sqrt{a}+1\right)^2}{\left(\sqrt{a}+1\right)\left(\sqrt{a}-1\right)}\right)\left(\dfrac{\sqrt{a}}{\sqrt{a}}-\dfrac{1}{\sqrt{a}}\right)\\ =\left(\dfrac{a-2\sqrt{a}+1+a+2\sqrt{a}+1}{\left(\sqrt{a}+1\right)\left(\sqrt{a}-1\right)}\right)\left(\dfrac{\sqrt{a}-1}{\sqrt{a}}\right)\\ =\dfrac{2a+2}{a-1}\cdot\dfrac{\sqrt{a}-1}{\sqrt{a}}\\ =\dfrac{-2\left(a+1\right)}{a+1}\cdot\dfrac{\sqrt{a}-1}{\sqrt{a}}\\ =\dfrac{-2\left(\sqrt{a}-1\right)}{\sqrt{a}}\)

d)

\(\dfrac{x^2-\sqrt{x}}{x+\sqrt{x}+1}-\dfrac{x^2+\sqrt{x}}{x-\sqrt{x}+1}+x+1\\ =\dfrac{\sqrt{x}\left(\sqrt{x}^3-1\right)}{x+\sqrt{x}+1}-\dfrac{\sqrt{x}\left(\sqrt{x}^3+1\right)}{x-\sqrt{x}+1}+x+1\\ =\dfrac{\sqrt{x}\left(\sqrt{x}-1\right)\left(x+\sqrt{x}+1\right)}{x+\sqrt{x}+1}-\dfrac{\sqrt{x}\left(\sqrt{x}+1\right)\left(x-\sqrt{x}+1\right)}{x-\sqrt{x}+1}+x+1\\ =\sqrt{x}\left(\sqrt{x}-1\right)-\sqrt{x}\left(\sqrt{x}+1\right)+x+1\\ =x-\sqrt{x}-x-\sqrt{x}+x+1\\ =x-2\sqrt{x}+1\\ =\left(x-1\right)^2\)