I just did this, and it is great. I leveled as ret to 75, and decided I'd spec prot, cause of the lack of tanks on my server. Check up Abstract on Ahn'Qiraj (EU) if you want to check my spec. Also, read up on www.maintankadin.failsafedesign.com to find out how to play it, how to gear, and different specs.
You will find that your rotation will be slightly more advanced, but you'll get used to it.
As for questing, I quest with my regular tanking gear, and I only use 3-4 more seconds on single pulls, and it goes a lot faster when you pull multiple mobs. And also, remember Divine Plea is your friend!