You should know two properties:
1. \((x+y)^2=x^2+2xy+y^2\), (\((x-y)^2=x^2-2xy+y^2\));

2. \((x+y)(x-y)=x^2-y^2\).

\((\sqrt{9+\sqrt{80}}+\sqrt{9-\sqrt{80}})^2=(\sqrt{9+\sqrt{80}})^2+2(\sqrt{9+\sqrt{80}})(\sqrt{9-\sqrt{80}})+(\sqrt{9-\sqrt{80}})^2=\)
\(=9+\sqrt{80}+2\sqrt{(9+\sqrt{80})(9-\sqrt{80})}+9-\sqrt{80}=18+2\sqrt{9^2-(\sqrt{80})^2}=18+2\sqrt{81-80}=18+2=20\).

Answer: E.

Hope it helps.
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\(A = \sqrt {9 + \sqrt {80} }\)
\(B = \sqrt {9 - \sqrt {80} }\)

\(?\,\,\,:\,\,\,{\text{expression}}\,\,{\text{ = }}\,\,{\left( {A + B} \right)^{\text{2}}}{\text{ = }}{{\text{A}}^{\text{2}}} + 2AB + {B^2}\)

\({A^2} = {\left( {\sqrt {9 + \sqrt {80} } } \right)^2} = 9 + \sqrt {80}\)
\({B^2} = {\left( {\sqrt {9 - \sqrt {80} } } \right)^2} = 9 - \sqrt {80}\)

\(AB = \sqrt {9 + \sqrt {80} } \cdot \sqrt {9 - \sqrt {80} } = \sqrt {\left( {9 + \sqrt {80} } \right)\left( {9 - \sqrt {80} } \right)} \,\,\,\mathop = \limits^{\left( * \right)} \,\,\,\sqrt 1 = \boxed1\)
\(\left( * \right)\,\,\,\,\,\left( {9 + \sqrt {80} } \right)\left( {9 - \sqrt {80} } \right)\,\,\, = \,\,\,\,{9^2} - {\left( {\sqrt {80} } \right)^2} = 81 - 80 = 1\)


\(? = \left( {9 + \sqrt {80} } \right) + 2 \cdot \boxed1 + \left( {9 - \sqrt {80} } \right) = 20\)


This solution follows the notations and rationale taught in the GMATH method.

Regards,
fskilnik.
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