In VS2017, with an earlier version of Resharper, I would see two sets of context menu options for debugging/running tests when I right click on a test class or test method.
The top "Run Test(s)" and "Debug Test(s)" options are from VS.
The bottom "Run Unit Tests" and "Debug Unit Tests" options come from R#.
This screenshot if from a different computer, but shows the context menu options I saw previously in VS2017.
Upload id: 2021_12_02_9twZwLeGp8XeofLP (file: VSRS TestContext.png)
VS Pro 2019 Version 16.11.5
Resharper Ultimate 2020.1.4