The only way to create such a deck would be to create a separate image for each unique card front and back in the deck. You could save some time by creating a standard design for everything but the text in the card (using the same background over and over again, then simply inserting the text for each question/answer and saving to a new file).
There is a method in Adobe Photoshop where you can import from an excel spreadsheet then it pastes the text onto the background via an Action Script in photoshop. This is an automation process. Currently getting someone to do this for my deck(s) of 22 set of 1099 cards...... lots to re-type, time consuming, but can be automated :)