I actually solved this myself. I am not sure it is a solution I would recommend to others as I am not sure why it worked. However, it worked. I looked in the registry for the following.
\\HKLM\HARDWARE\DEVICEMAP\VIDEO\Device\Video0
I found that as well as the entry below.
VgaCompatible \Device\Video2
I changed the entry to \Device\Video0
I then closed regedit and rebooted. Once I rebooted, i saw that the Nvidia settings were once again available under the video settings menu. I was able to once again, use a second monitor.
Interestingly, the entry in the registry is back to \Device\Video2. Like I said, I don't know how what I did got things working...but it did.