\(a)\sqrt{-9a}-\sqrt{9+12a+4a^2}\)
\(==\sqrt{3^2.\left(-a\right)}-\sqrt{3^2-2.3.2a+\left(2a\right)^2}\)
\(=3\sqrt{-a}-\sqrt{\left(3+2a\right)^2}\)
\(=3\sqrt{a}-\left|3+2a\right|\)
\(b)1+\frac{3m}{m-2}\sqrt{m^2-4m+4}\)
\(=1+\frac{3m}{m-2}\sqrt{\left(m\right)^2-2.2m+2^2}\)
\(=1+\frac{3m}{m-2}\sqrt{\left(m-2\right)^2}\)
\(=1+\frac{3m}{m-2}|m-2|\)
\(c)4x-\sqrt{9x^2+6x+1}\)
\(=4x-\sqrt{\left(3x\right)^2+2.3x+1}\)
\(=4x-\sqrt{\left(3x+1\right)^2}\)
\(=4x-|3x+1|\)