If you're as strict on having a particular refresh setting in all resolution and color depths then this option screen will be a blessing to you as well.
Here you have the main D3D property window. Most of the regularly used adjustments are deeper into the D3D options.
The popular FSAA and VSYNC options can be found here.
All of the available OpenGL settings can be adjust in this window.
The tweak utility is very basic but it does what you need it to do. I do want to note that the utility is limited to 365 MHz memory speed setting when the card was capable of higher settings. That was a bit disappointing.