All except four clues contain a superfluous word each. Initial letters of these words spell the titles of four 29D by 39 (two words). The first title defines four unclued lights; the second and third titles are defined by the remaining unclued lights. The fourth title (four words) is a cryptic indication of a sequence of letters formed by two clued lights; these must be highlighted.
Across
11 Branch of medicine perplexed our grey nurse (12)
14 Sailor in hurry risks a skin disease (7)
16 Hard, entering unknown number again (4)
17 Close game missing high tension (5)
18 Revolutionary around outset runs town (6)
22 Coins formerly distributed rest under silt (8)
23 Give power, reversing grudge (7)
24 Vase, strange in fashion, exciting thing (6, hyphened)
27 Verminous outbreak around dry island (7)
29 Task adjusting cask in a ring (8)
35 Nag unsettled one monkey (4)
37 Alien out in space in conjunction (7)
38 Stick strip, current kind (5)
40 Dispatch second deposit (4)
41 Erratic nuts troubled skilful master (8)
Down
1 Northern instructor after season dropping weak trainee (6)
2 E.g.
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