Answer:
This is a fairly simple binomial distribution. We know it's binomial, because we're looking for a "fixed" number of patients, not the "first" like a geometric.
You can use your calculator:
binomcdf(n,p,Kr)
n=population, p=probability, Kr=number you're looking for
binomcdf(8,.8,1)
We have to do 1, not 2, because it says fewer than 2, which means 1.
= 8.448 x 10⁻⁵ = .00008448, which is approximately the answer given!