We affirm the trial court’s determination that appellant unreasonably refused to sub*142mit to a medical examination pursuant to section 627.736(7), Fla.Stat. (1989).1
ERVIN, JOANOS and WOLF, JJ., concur.. It is unnecessary for us to address any of the arguments concerning the constitutionality of the statute as applied to a situation where the personal injury protection carrier requests a permanency rating in connection with a physical examination conducted pursuant to § 627.736(7), Fla. Stat., as these issues were not raised in the trial court.