If you don't have a rescue email address (you won't be able to add one until you can answer 2 of your questions) then you will need to contact iTunes Support or Apple to get the questions reset - some countries other than the US have phone support.
e.g. you can try contacting iTunes Support : http://www.apple.com/support/itunes/contact/ - click on Contact iTunes Store Support on the right-hand side of the page, then Account Management , and then 'Forgotten Apple ID security questions'
or try ringing Apple in your country and ask to talk to the Accounts Security Team : http://support.apple.com/kb/HE57
When they've been reset (and if you don't already have a rescue email address) you can then use the steps half-way down the page that you posted from to add a rescue email address for potential future use, or you could change to 2-step verification : http://support.apple.com/kb/HT5570
If your country doesn't have phone support and isn't listed on the iTunes Support page then try a different country and topic to contact support and explain your problem.