Although your processes count is as low as 45 or so, you might want let us see what you have running. Simply copy and paste the following line in your Search Box, Run Box or cmd, whichever you like and you should get a text file named "process" on your Desktop.
wmic /output:%userprofile%\desktop\process.txt process get description,executablepath
Other than that, I recently noticed my frame rate going to single digits on the Italy map we were practicing on for the oncoming scenario. Usually my FPS is a solid 59. There seems to be spots which are heavy loaded with stuff while other similar looking places don't produce any issues.
Skuzzy, is it possible that several terrain tiles or other elements could exist one over another, all being calculated but only one being visible? That's how it felt like when strafing Italy A 50, no flames, no furball, no planes near. Actually I could reproduce it a minute ago, A50 being a friendly field with no action at all! The lowest count was 4, the highest 60.