I ended up writing the test scenario and did find indexed fields coupled with and $and as part of the query did speed things up. Sometimes we were talking a 20ms improvement, going from 22ms to 2ms. For a site with a lot of data and traffic this can add up. Also, since it is such as simple optimisation I’ll take it.
The test scenario I wrote:
Feel free to comment on it. I have made it public so it can be improved on.