We are given that
$$p \equiv 1 \pmod 4 \tag{1}\label{eq1}$$
The question doesn't state it explicitly, but it seems to assume that $p$ is a prime, e.g., for this to always work, plus as it also mentions using Fermat's Little Theorem. As the question basically already starts, we have that
$$2 \cdot 4 \cdot 6 \cdots \left(p - 1\right) = 2^{\left(p - 1\right)/2}\left(1 \cdot 2 \cdot 3 \cdots \cfrac{p - 1}{2}\right) = 2^{\left(p - 1\right)/2} \left(\cfrac{p - 1}{2}\right)! \tag{2}\label{eq2}$$
Thus, to prove
$$2 \cdot 4 \cdot 6 \cdots \left(p - 1\right) \equiv \left(-1\right)^{\left(p - 1\right)/4} \left(\cfrac{p - 1}{2}\right)! \pmod p \tag{3}\label{eq3}$$
we just need to prove that
$$\left(-1\right)^{\left(p - 1\right)/4} \equiv 2^{\left(p - 1\right)/2} \pmod p \tag{4}\label{eq4}$$
To do this, note that the second supplement to the law of quadratic reciprocity, such as stated in Legendre symbol and proven in Law of Quadratic Reciprocity, gives that
$$\left(\cfrac{2}{p}\right) = \left(-1\right)^{\frac{p^2 - 1}{8}} =
\begin{cases}
1 & p \equiv 1 \text{ or } 7 \pmod 8 \\
-1 & p \equiv 3 \text{ or } 5 \pmod 8
\end{cases} \tag{5}\label{eq5}$$
Also, Legendre's original definition was by means of an explicit formula, where for $2$ it is that
$$\left(\cfrac{2}{p}\right) \equiv 2^{\left(p - 1\right)/2} \pmod p \tag{6}\label{eq6}$$
As such, consider $p \equiv 1 \pmod 4$ means $p \equiv 1 \text{ or } 5 \pmod 8$. In the first case, i.e, $p \equiv 1 \pmod 8$, from \eqref{eq5} and \eqref{eq6}, we have
$$2^{\left(p - 1\right)/2} \equiv 1 \pmod p \tag{7}\label{eq7}$$
Also, $p = 8k + 1$ for some integer $k$, so $\left(p - 1\right) / 4 = 2k$. Thus,
$$\left(-1\right)^{\left(p - 1\right)/4} = \left(-1\right)^{2k} = \left(\left(-1\right)^{2}\right)^k = 1^k \equiv 1 \pmod p \tag{8}\label{eq8}$$
Thus, \eqref{eq4} holds when $p \equiv 1 \pmod 8$. For the second case of $p \equiv 5 \pmod 8$, from \eqref{eq5} and \eqref{eq6}, we have
$$2^{\left(p - 1\right)/2} \equiv -1 \pmod p \tag{9}\label{eq9}$$
Also, $p = 8k + 5$ for some integer $k$, so $\left(p - 1\right) / 4 = 2k + 1$. Thus,
$$\left(-1\right)^{\left(p - 1\right)/4} = \left(-1\right)^{2k + 1} = \left(-1\right)^{2k}\left(-1\right) \equiv -1 \pmod p \tag{10}\label{eq10}$$
Thus, \eqref{eq4} also holds when $p \equiv 5 \pmod 8$. As both possible cases have been checked, we can conclude that \eqref{eq3} is true.