Here is the question:
$$\frac{\sqrt{10+\sqrt{1}}+\sqrt{10+\sqrt{2}}+\cdots+\sqrt{10+\sqrt{99}} }{\sqrt{10-\sqrt{1}}+\sqrt{10-\sqrt{2}}+\cdots+\sqrt{10-\sqrt{99}}} = \;?$$
I think we need to simplify it writing it in summation sign as you can see here:
$$\frac{\sum\limits_{n=1}^{99} \sqrt{10 + \sqrt{n}}}{\sum\limits_{n=1}^{99} \sqrt{10 - \sqrt{n}}}$$
or in Wolfram Alpha input in comments.
I can compute it too! It's easy to write a script for this kind of question. I need a way to solve it. How would you solve it on a piece of paper?
Hint: Show that for all relevant $n$ $$ \frac{\sqrt{10+\sqrt{100-n}}+\sqrt{10+\sqrt{n}}}{\sqrt{10-\sqrt{100-n}}+ \sqrt{10-\sqrt{n}}}=\sqrt2 +1. $$ IOW pair up terms in the numerator and the denominator starting from both ends.
[Edit:]
Claim. Assume that $a,b,c$, all positive, are the lengths of the sides of a right angled triangle - a Pythagorean triple if you like - $c$ is the hypotenuse. Then $$ \frac{\sqrt{c+a}+\sqrt{c+b}}{\sqrt{c-a}+\sqrt{c-b}}=1+\sqrt2. $$
Proof. The left hand side of the claim is clearly immune to scaling. We can adjust the scale so that $c-b=2$. Then a calculation (familiar to enthusiasts of Pythagorean triples) shows that for some positive real number $m$ we have $$c=m^2+1,\quad b=m^2-1,\quad a=2m.$$ (IOW instead of the usual integer parametrization in terms of $(m,n)$ we set $n=1$, and let $m$ be arbitrary.) We then see that the numerator is $m+1+\sqrt2 m=m(1+\sqrt2)+1$, and the denominator is $m-1+\sqrt2$. Because $(\sqrt2+1)^{-1}=\sqrt2-1$ the claim follows. Q.E.D.
Leaving it to the reader to derive the identity of my hint as a corollary of the claim.