Have you refreshed your .ini file after the graphics card change. Should do that so the .ini file is generated according to your current hardware. Your .ini file can be found in your My Documents\My Games\Fallout3 folder....it is the configuration settings file named
FALLOUT.
Delete it...or rename it if you have changes in there and need a reference to do the changes again. Refire up the game, and a new one will get generated. See if that helps.