It's probably easiest to create your query object directly as:
Test.find({ $and: [ { $or: [{a: 1}, {b: 1}] }, { $or: [{c: 1}, {d: 1}] } ] }, function (err, results) { ... }
But you can also use the Query#and
helper that's available in recent 3.x Mongoose releases:
Test.find() .and([ { $or: [{a: 1}, {b: 1}] }, { $or: [{c: 1}, {d: 1}] } ]) .exec(function (err, results) { ... });