$$\int_{-5}^{-3} \frac{dx}{\sqrt{x^2 - 4}}\\ x = 2\sec\theta \\ dx = 2\sec\theta \tan\theta \,d\theta\\ \theta \in[0,\frac{\pi}{2})\cup(\frac{\pi}{2},\pi]\\ $$
$$\int_{sec^{-1}\frac{-5}{2}}^{\sec^{-1}\frac{-3}{2}} \frac{2\sec\theta \tan\theta \,d\theta}{\sqrt{4\sec^2\theta - 4}} = \int_{\sec^{-1}\frac{-5}{2}}^{\sec^{-1}\frac{-3}{2}} \frac{\sec\theta \tan\theta\, d\theta}{\sqrt{\sec^2\theta - 1}} = \int_{\sec^{-1}\frac{-5}{2}}^{\sec^{-1}\frac{-3}{2}} \frac{\sec\theta \tan\theta d\theta}{\sqrt{\tan^2\theta}}\\ = \int_{\sec^{-1}\frac{-5}{2}}^{\sec^{-1}\frac{-3}{2}} \frac{\sec\theta \tan\theta d\theta}{|\tan\theta|}$$
From there I don't know if $|\tan\theta| = \tan\theta\,$ or $-\tan\theta$ since $\theta$ can be in the first or second quadrant