Let
$\sqrt{x+y}=a$
and
$\sqrt{y+z}=b$
Given,
$2\sqrt{x+y}-3\sqrt{y+z}=2$
So,
$2a-3b=2$
Also,
$x=a^2-y$
and
$z=b^2-y$
Now use the second condition:
$4x-5y-9z=8$
$4(a^2-y)-5y-9(b^2-y)=8$
$4a^2-4y-5y-9b^2+9y=8$
$4a^2-9b^2=8$
So,
$(2a-3b)(2a+3b)=8$
Since $2a-3b=2$,
$2(2a+3b)=8$
$2a+3b=4$
Now solve:
$2a-3b=2$
$2a+3b=4$
Adding both equations,
$4a=6$
$a=\frac{3}{2}$
Now,
$2a+3b=4$
$3+3b=4$
$3b=1$
$b=\frac{1}{3}$
Now,
$20x+38y+18z+1$
$=20(a^2-y)+38y+18(b^2-y)+1$
$=20a^2+18b^2+1$
Also,
$9y+9z+2=9(y+z)+2=9b^2+2$
Now substitute $a=\frac{3}{2}$ and $b=\frac{1}{3}$.
Numerator:
$20a^2+18b^2+1=20\left(\frac{3}{2}\right)^2+18\left(\frac{1}{3}\right)^2+1$
$=20\cdot \frac{9}{4}+18\cdot \frac{1}{9}+1$
$=45+2+1$
$=48$
Denominator:
$9b^2+2=9\left(\frac{1}{3}\right)^2+2$
$=1+2$
$=3$
Therefore,
$\sqrt{\frac{20x+38y+18z+1}{9y+9z+2}}=\sqrt{\frac{48}{3}}$
$=\sqrt{16}$
$=4$
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