Since 2n+1 key sare given .
Median is middile element of sorted sequence.
so if if root is median then left of subtree n nodes are there and right also n nodes are there of median element.
so for left side with n element how many BST are possible = $\frac{\binom{2n}{n}}{n+1}$
so for right side with n element how many BST are possible = $\frac{\binom{2n}{n}}{n+1}$
total BST are = $\frac{\binom{2n}{n}}{n+1} \times \frac{\binom{2n}{n}}{n+1} = \left (\frac{\binom{2n}{n}}{n+1} \right )^2$