The bad news first: You got scammed and will never meet her (or more likely, him). You will never see your money again. And it's possible that (s)he has "friends" on SA who will try to rinse you for even more.
The good news: This was a rather inexpensive lesson to learn.
The FIRST and MOST IMPORTANT rule of the Sugar Bowl: Never send money in advance. Never. Just to clarify; never. And if your still need more specifics, NEVER!!!!!!!!!!!!!!!!!!!!!!!!!
So that's the answer to Question 1: Very worried to the point of certainty.
Here are the answers to:
Question 2: If you take her for tests, or the test document (preferably a digital format with a QR code) is from a reputable provider - and you are confident that you can spot a fake, then yes, sharing negative results is a very good sign. Bear in mind that any test results are a "snap shot" of her condition at the time of the test. The more days that have elapsed since the test, the less reliable/viable the result. (For me I get tested every 4-5 weeks.)
Question 3: From this POT, demand nothing - move on. From your next POT, ask (demanding is a losing play) for a brief public meet - I like Starbucks. Second best is a video chat. And third best a phone call. But beware; it's easy to mask key info on video and even easier on the phone. I once asked for a video chat and after she stalled for a while she agreed. She was sitting in her car, pretty, perky and flirty.... 4 hours later as she was bolting out my front door my with my cash, I realized what I had missed in the video chat. She was sitting the passenger seat in the car, while her accomplice was driving.
Life is good
The Cat