I am getting really bad tearing but see no Vsync option, Other then screen tearing the game runs great with everything maxed and GPU setting enabled.... I'm Using the BF3 Nvidia beta drivers 285.38 , Hardware: i7 2600k @ 4.5 w HT ,eVga GTX 570 SC..@ 902/2000.....4GB DDR3 2133 RipJawX....
You have to create a new profile for Rage, and force VSYNC to ON. Otherwise NVIDIA pushed a profile update to disable VSYNC the other day (if you have the update feature on). Even if there is no current profile, create one and you will see that it has been forced to OFF.