$$\sqrt{\frac{121c^8}{d^{18}}} = \sqrt{\frac{11^2 \cdot (c^4)^2}{(d^9)^2}} = \frac{11 \cdot c^4}{\mid d^9 \mid} = \frac{11c^4}{(-d)^9} = -11 \cdot \frac{c^4}{d^9}$$
Т.к. по условию d < 0, то
$$\sqrt{d^{18}} = \mid d^9 \mid = -d^9$$
Ответ: $$-11 \cdot \frac{c^4}{d^9}$$