I have just this minute installed Steve's dx10 fixer check your cfg against this one
[GRAPHICS]
SHADER_CACHE_PRIMED_10=1693500672
SHADER_CACHE_PRIMED=1693500672
D3D10=1
TEXTURE_MAX_LOAD=2048
NUM_LIGHTS=8
AIRCRAFT_SHADOWS=0
AIRCRAFT_REFLECTIONS=1
COCKPIT_HIGH_LOD=1
LANDING_LIGHTS=1
AC_SELF_SHADOW=0
EFFECTS_QUALITY=2
GROUND_SHADOWS=0
TEXTURE_QUALITY=3
IMAGE_QUALITY=0
See_Self=1
Text_Scroll=1
MultiSamplesPerPixel=4
MultiSampleQuality=8
HIGHMEMFIX=1
ForceWindowedVsync=1
[bUFFERPOOLS]
Poolsize=0
JOBSCHEDULER]
AffinityMask=14
[sOUND]
AmbientUIMusicVolume=-6.000000
SOUND_FADER1=1.000000
SOUND_FADER2=1.000000
SOUND_FADER3=0.760000
SOUND_FADER4=0.500000
AmbientUIMusic=FSX01
PrimaryDevice={22999CBE-3BDD-46BD-981A-A8ADE7034F79}
VoiceDevice={22999CBE-3BDD-46BD-981A-A8ADE7034F79}
SOUND=1
SOUND_QUALITY=2
SOUND_LOD=0
UISound=1
AmbientUI=0
[Display]
ChangeTime=4.000000
TransitionTime=4.000000
ActiveWindowTitleTextColor=255,255,255
ActiveWindowTitleBackGroundColor=0,28,140,64
NonActiveWindowTitleTextColor=255,255,255
NonActiveWindowTitleBackGroundColor=24,33,87,64
InfoUpperRightTextColor=255,0,0
InfoUpperRightBackGroundColor=0,0,0,0
InfoLowerLeftTextColor=255,255,255
InfoLowerLeftBackGroundColor=255,0,0,128
InfoLowerRightTextColor=255,255,255
InfoLowerRightBackGroundColor=255,0,0,128
InfoBrakesEnable=True
InfoParkingBrakesEnable=True
InfoPauseEnable=True
InfoSlewEnable=True
InfoStallEnable=True
InfoOverspeedEnable=True
BLOOM_EFFECTS=0
SKINNED_ANIMATIONS=1
TEXTURE_BANDWIDTH_MULT=40
UPPER_FRAMERATE_LIMIT=30
WideViewAspect=True
[Main]
User Objects=Airplane, Helicopter
SimObjectPaths.0=SimObjects\Airplanes
SimObjectPaths.1=SimObjects\Rotorcraft
SimObjectPaths.2=SimObjects\GroundVehicles
SimObjectPaths.3=SimObjects\Boats
SimObjectPaths.4=SimObjects\Animals
SimObjectPaths.5=SimObjects\Misc
ProcSpeed=10209
PerfBucket=7
Location=317,139,1357,917,\\.\DISPLAY1
HideMenuNormal=0
HideMenuFullscreen=1
FIBER_FRAME_TIME_FRACTION=0.11
DisablePreload=1
Maximized=2
[PANELS]
IMAGE_QUALITY=1
DEFAULT_VIEW=0
QUICKTIPS=0
PANEL_OPACITY=100
PANEL_MASKING=1
PANEL_STRETCHING=1
UNITS_OF_MEASURE=0
[Weather]
WindshieldPrecipitationEffects=1
MinGustTime=10
MaxGustTime=500
MinGustRampSpeed=1
MaxGustRampSpeed=200
MinVarTime=5
MaxVarTime=50
MinVarRampSpeed=10
MaxVarRampSpeed=75
TurbulenceScale=1.000000
WeatherServerAddress=fs2k.zone.com
WeatherServerPort=80
WeatherGraphDataInDialog=0
AdjustForMagVarInDialog=1
DynamicWeather=0
DownloadWindsAloft=0
DisableTurbulence=0
CLOUD_DRAW_DISTANCE=3
DETAILED_CLOUDS=1
CLOUD_COVERAGE_DENSITY=5
THERMAL_VISUALS=0
[DISPLAY.Device.NVIDIA GeForce GTX 680.0]
Mode=1920x1080x32
Anisotropic=1
AntiAlias=1
[AccelerationPack]
ControlsFirstRun=0
HomePageFirstRun=0
[CONTROLS]
Controls_Default=Standard
Controls_Current=Standard
KBDAIL=64
KBDELEV=64
KBDRUD=64
[TextInfo.1]
Latitude=1,1
Longitude=1,2
Altitude=1,3
Heading=1,4
AirSpeed=1,5
WindDirectionAndSpeed=1,6
[TextInfo.2]
FrameRate=1,1
LockedFrameRate=1,2
GForce=1,3
FuelPercentage=1,4
[TextInfo.3]
Latitude=1,1
Longitude=1,2
Altitude=1,3
Heading=1,4
AirSpeed=1,5
WindDirectionAndSpeed=1,6
FrameRate=2,1
LockedFrameRate=2,2
GForce=2,3
FuelPercentage=2,4
[slewTextInfo.1]
Latitude=1,1
Longitude=1,2
Altitude=1,3
Heading=1,4
AirSpeed=1,5
[slewTextInfo.2]
FrameRate=1,1
LockedFrameRate=1,2
[slewTextInfo.3]
Latitude=1,1
Longitude=1,2
Altitude=1,3
Heading=1,4
AirSpeed=1,5
FrameRate=2,1
LockedFrameRate=2,2
[Trusted]
D:\Flight Sim X\ORBX\FTX_AU\FTXAA_ORBXLIBS\Scenery\ObjectFlow.dll.ncnrochittrrbnounbbrzzkihorzcttcqqtonwqq=1
D:\Flight Sim X\Modules\FSUIPC4.dll.ectuirukkeblkatiqikzbbhrquqqqknunquqttol=1
D:\Flight Sim X\PMDG\DLLs\PMDG_Interface.dll.biqnwkthencuqllilucqatoraiztweoaqnuqizet=1
D:\Flight Sim X\RAASPRO\RAASPRO.dll.uohcnaeorotnonazczzwzhrqkiohzoreubcqrbrr=1
D:\Flight Sim X\PMDG\DLLs\PMDG_HUD_interface.dll.clrhbhuccwhoqwcurlarqwlakwelihuzzutltztk=1
D:\Flight Sim X\as_srv\as_btstrp.dll.bqiuehtcoklliqttwonatnkeroqqraoroqcchbba=1
D:\Flight Sim X\GAUGES\PMDG_737NGX.DLL.enurwbrquckkuilazhtqklabrbwwiblqkrkwbeut=2
D:\Flight Sim X\GAUGES\PMDG_737NGX_3.DLL.hoaknruhwilrqwhaeccrnriqawtbuwakbqcbbblr=2
[DynamicHeadMovement]
LonAccelOnHeadLon=-0.020000
LonAccelOnHeadPitch=-0.010000
RollAccelOnHeadLat=0.010000
YawAccelOnHeadLat=-0.100000
RollAccelOnHeadRoll=0.100000
MaxHeadAngle=5.000000
MaxHeadOffset=0.300000
HeadMoveTimeConstant=1.000000
[VirtualCopilot]
VirtualCopilotActive=0
[DISPLAY.Device.NVIDIA GeForce GTX 680.1]
Mode=2103x1183x32
[uSERINTERFACE]
PageID=1
OpenATCOnCreate=0
SHOW_MISSION_CAPTIONS=0
PAUSE_ON_LOST_FOCUS=0
PROMPT_ON_EXIT=1
SITUATION=FLIGHTS\OTHER\FLTSIM
Map_Orientation=2
ShowAllACPaintSchemes=1
SelectAircraftManufacturer=All
SelectAircraftPublisher=All
SelectAircraftType=All
[ATC]
ShowATCText=1
COMM_MSG_NONE_COLOR=FFFFFFFF
COMM_MSG_ATC_USER_COLOR=FFB6FFB6
COMM_MSG_USER_ATC_COLOR=FFFFD21B
COMM_MSG_ATC_AI_COLOR=FF00FF00
COMM_MSG_AI_ATC_COLOR=FFFF7840
AutoOpenAirTrafficWindow=1
UsePilotVoice=1
PilotVoice=0
[PointOfInterestSystem]
CycleSetting=0
[sCENERY]
LENSFLARE=0
DAWN_DUSK_SMOOTHING=1
IMAGE_COMPLEXITY=4
[TrafficManager]
AirlineDensity=25
GADensity=0
FreewayDensity=10
ShipsAndFerriesDensity=0
LeisureBoatsDensity=0
IFROnly=0
AIRPORT_SCENERY_DENSITY=1
[TERRAIN]
LOD_RADIUS=6.500000
MESH_COMPLEXITY=75
MESH_RESOLUTION=24
TEXTURE_RESOLUTION=28
AUTOGEN_DENSITY=3
DETAIL_TEXTURE=1
WATER_EFFECTS=5
[AContain]
ShowLabels=1
ShowUserLabel=0
ShowLabelManufacturer=1
ShowLabelModel=1
ShowLabelTailNumber=0
ShowLabelDistance=1
ShowLabelAltitude=1
ShowLabelAirline=0
ShowLabelAirlineAndFlightNumber=0
ShowLabelFlightPlan=0
ShowLabelContainerId=0
ShowLabelAirspeed=0
ShowLabelHeading=0
LabelDelay=2000
LabelColor=FF00FFFF
[iNTERNATIONAL]
ASLAT=2
ASLON=0
MEASURE=0
[REALISM]
PFactor=1.000000
Torque=1.000000
GyroEffect=1.000000
CrashTolerance=1.000000
General=1.000000
UnlimitedFuel=False
AllowEngineDamage=False
TrueAirspeed=False
AutoCoord=False
RealMixture=True
StressDamage=False
GEffect=False
ManualLights=True
GyroDrift=False
CrashWithDyn=False
CrashDetection=False
AutoTrim=False
[sIM]
SYSCLOCK=1
[sTARTUP]
DEMO=0
SHOW_OPENING_SCREEN=1
STARTUP_DEMO=
LoadWindow=1
[FACILITIES]
COUNTRY=
STATE=
CITY=
GTL_BUTTON=1232
[Misc]
Com_Rate=7
[DISPLAY.Device.NVIDIA GeForce GTX 680.0.0]
AntiAlias=1
Mode=1920x1080x32
Anisotropic=1
[DISPLAY.Device.NVIDIA GeForce GTX 680.0.1]
Mode=1280x720x32
[MULTIPLAYER]
condAccoutPassword=0
Mine seems to be running really smooth.
I can send you my NVI cfg if you want to try against that aswell.