Sorry to 'jack your thread somewhat, but this question confuses me. For part c), why does the mark scheme use P(X<=13) when the doctor thinks the probability is lower? Surely to verify H0 you should be using P(X>=13), as thats the boundary of the critical region you would be looking at.
Anyway to answer your question, because you cant use the tables for B(20,0.75), you have to look at the number of cases that havent recovered with B(20,0.25). If c patients recovered and there were 20 patients, that means 20-c patients didnt recover, so you use that.